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当前位置:药药网 / 数据中心 / 临床注释-2,变异和临床注释数据
辛伐他汀
临床注释ID
655384011
药物名称(英)
simvastatin
变异单倍型
rs4149056
基因
SLCO1B1
证据级别
1A
水平覆盖
水平修饰符
Tier 1 VIP
表现型类别(英)
Toxicity
表现型类别
毒性
分数
211.75
PMID计数
9
计数的证据
12
表现型
他汀类药物相关性肌病
表现型(英)
statin-related myopathy
最新日期
2022/2/14 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/655384011
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1186
TT
Patients with the rs4149056 TT genotype may have a lower risk of simvastatin-related myopathy when treated with simvastatin as compared to patients with the CT or CC genotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence risk of toxicity to simvastatin.
1185
CT
Patients with the rs4149056 CT genotype may have a higher risk of simvastatin-related myopathy when treated with simvastatin as compared to patients with the TT genotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence risk of toxicity to simvastatin.
1184
CC
Patients with the rs4149056 CC genotype may have a higher risk of simvastatin-related myopathy when treated with simvastatin as compared to patients with the TT genotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence risk of toxicity to simvastatin.
临床证据
id
证据的ID
总结
4111
1184989268
SLCO1B1 *5 is associated with increased risk of Drug Toxicity when treated with atorvastatin, pravastatin or simvastatin in people with Hypercholesterolemia as compared to SLCO1B1 *1.
4110
1449576945
Genotypes CC + CT are associated with increased likelihood of statin-related myopathy when treated with atorvastatin or simvastatin as compared to genotype TT.
4109
1448613086
Allele C is not associated with increased risk of Muscular Diseases when treated with atorvastatin, fluvastatin, hmg coa reductase inhibitors, pitavastatin, pravastatin, rosuvastatin or simvastatin as compared to allele T.
4108
1183699615
Genotype CC is associated with increased risk of dose decrease or switch to another cholesterol-lowering drug when treated with simvastatin as compared to genotype TT.
4107
1183689645
Allele C is associated with all statin-induced myopathy and severe myopathy when treated with atorvastatin, fluvastatin, hmg coa reductase inhibitors, pravastatin, rosuvastatin or simvastatin as compared to allele T.
4106
769164512
Genotypes CC + CT are associated with increased risk of Muscular Diseases when treated with simvastatin in people with Hyperlipidemias as compared to genotype TT.
4105
981420028
Genotype CC is associated with increased likelihood of Muscular Diseases when treated with simvastatin in people with Myocardial Infarction as compared to genotype TT.
4104
655386692
Genotypes CC + CT are associated with increased risk of Muscular Diseases when treated with simvastatin as compared to genotype TT.
4103
1448821136
Allele C is not associated with likelihood of statin-related myopathy when treated with atorvastatin or simvastatin in people with Coronary Artery Disease as compared to allele T.
4102
1451231960
Allele C is associated with increased likelihood of Muscular Diseases when treated with simvastatin in people with Coronary Artery Disease as compared to allele T.
4101
PA166182844
Annotation of DPWG Guideline for simvastatin and SLCO1B1
4100
PA166105005
Annotation of CPIC Guideline for simvastatin and SLCO1B1
临床病史
id
类型
评论
567
Note
Second curator check following addition of CPIC guideline to evidence.
566
Update
updated text
565
Update
CA score added as part of scoring system release. LOE assigned following curator review.
564
Update
added guideline as evidence, updated text
563
Update
Moved PK VAs to a different CA and removed duplicate VAs. Added PMIDs 27839692 and 28812116 to evidence. Edited phenotype descriptions
562
Update
Edited annotation text
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